Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT234 | HI |
NPI | 1265451512 |
---|---|
Provider Name | Ms. Michele Margaret Young |
First Address | Kaneohe, HI 96744-0754 |
Second Address | Kailua, HI 96734-1747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 24/07/2017 |